| NPI | 1477041713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSE HINES Owner 256-453-7263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: NC 34D2139879) |
| Enumeration Date | 2018-04-23 |
| Last Update Date | 2018-04-23 |